Posterior tibial tendon dysfunction or adult acquired flat foot can be a very disabling condition if not caught early enough. It is almost an ‘emergency’ when it starts that something is done to stop it. Essentially what happens in posterior tibial tendon dysfunction is that the tendon/muscle gives up. It cannot longer do its job anymore and the foot becomes progressively pronated and arch flatter. This will happen until it cannot go any further. When posterior tibial tendon dysfunction reaches that stage, the only option is surgical reconstruction and the disability associated with that. This is why it is so crucial that posterior tibial tendon dysfunction is detected and treated so early while there can be some repair to the tendon. The treatment is aimed at reducing the workload of the tendon, so the muscle no longer has to work so hard.
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